Provider Demographics
NPI:1326889429
Name:WOOD, SARA M (PA-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:WOOD
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 2ND AVE N APT 401
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-3160
Mailing Address - Country:US
Mailing Address - Phone:256-508-6671
Mailing Address - Fax:
Practice Address - Street 1:1801 2ND AVE N APT 401
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-3160
Practice Address - Country:US
Practice Address - Phone:256-508-6671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12957363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant